Senior Clinical Fellow-Geriatrics and Frailty

Senior Clinical Fellow Geriatric and Frailty

We are seeking Senior Clinical Fellows to join the dynamic, motivated and innovative Geriatrics and Frailty team at BHRUT to deliver excellent and safe care for our patients. This appointment will be for a 12-month fixed term initially.

The post holder will drive forward developments, improving the quality of care delivered to patients with a focus on maximising peoples' independence and supporting their return to their usual place of residence wherever possible. You will receive peer support from staff working across the Care of Elderly services at Barking, Havering Redbridge University and be fully supported by an integrated management team helping you to drive forward change.

The successful post-holder would support the development and clinical transformation of our busy Care of Elderly faculty through the extremely busy frailty pathway. We have opportunities for individuals who are looking to develop their skills at a higher level relating to the complex range of cases seen through a large number of acutely unwell elderly patients.

All staff will have a mentor for help and guidance. This post would provide a good platform for candidates wishing to seek approved training rotations, particularly in Specialist Medicine, Emergency Medicine and GP.

CLINICAL

• Attend daily consultant-led post-take ward round.
• Maintain overview of all ward patients.
• The post holder will be expected to prioritise and time-manage effectively according to the activity of the department.
• Actively participating and facilitating the discharges
• Contribute in the electronic and verbal handover of patients.
• Work a pattern of Standard Days, Long Days and night shifts across a 7 day roster
• Participate in audits and research.
• Post holders in this grade will participate in the Medical on call rota. This will cover the whole range of clinical responsibility for adults with emergency problems from minor injuries to major trauma, and minor illnesses through to the critically unwell. You will be expected to lead major cases in our resuscitation room. You will also be responsible for any patients you admit to our assessment units.

ACROSS ALL POST

• Responsibility to work as a team to provide the best care to our patients.
• Joint responsibility with junior team to plan discharges and write discharge summaries in a timely manner.
• Provide teaching to nursing and/or ancillary staff and undergraduate students.
• Perform duties in occasional emergencies and unforeseen circumstances at the request of the appropriate consultant, in consultation where practicable with their colleagues both senior and junior.
• Actively participate in performance appraisal as per Trust guidelines.
• Participate in audits and research as arranged by the firms.

We're an organisation that is getting better and better. We were the most improved Trust in England for A&E performance in 2023/24; we're no longer in special measures; and Matthew Trainer, our Chief Executive, has been named the top CEO by the Health Service Journal. Our improvements are driven by a determination to deliver care we're proud of and that our patients are happy with.

Many of our 8,000 staff – who come from 146 different countries - live in the three diverse London boroughs we serve and the majority are from black, Asian and minority ethnic groups. More than 400 of them are on apprenticeship programmes and we're proud to be a London Living Wage employer.

We operate from two main sites - King George Hospital (KGH) in Goodmayes and Queen's Hospital in Romford. We have two of the busiest emergency departments in London – more than 300,000 people visited our A&Es in 2023.

Patients across northeast London are benefitting from two new state of the art theatres at KGH and our Community Diagnostic Centres at Barking Community Hospital and St George's Health and Wellbeing Hub will significantly increase the number of scans that can be carried out.

We're looking forward to introducing an electronic patient record next year. This will mean the records of any patient visiting one of the seven hospitals run by BHRUT and BARTS Health will be accessible to the clinical teams. It'll make things easier for staff and will be better for patients.

We are excited to be advertising Senior Clinical Fellow posts, based on our Geriatric wards at BHRUT. The posts offer excellent experience in all aspects of acute General and Care of the Elderly Medicine. The Trust is a leading partner in a whole system Frailty pathway and is seeking to appoint doctors who are considering a career in Elderly Care and Frailty.

Our aim is to provide excellent care for frail older patients from community to hospital and back home. We aim to treat acute illness appropriately, to enhance quality of life, to reduce disability, recognise when life is nearing its end and to provide individualised person centred care in the right place at the right time.

The post holder will work closely with the medical and nursing teams on all the wards as well as other departments. He/she will attend daily consultant-led ward round, maintain overview of all ward patients and actively participate in facilitating the discharges on the ward. There will also be participation in outpatient clinics, teaching and training and audit/data collection. In this role the post holder will be expected to support and supervise junior doctors on the ward.

Post holders in this grade will also participate in the middle grade rota oncall. Duties within Medical on call will cover the whole range of clinical responsibility for adults with emergency problems from minor injuries to major trauma, and minor illnesses through to the critically unwell. You will be expected to lead major cases in our resuscitation room. You will also be responsible for any patients you admit to our assessment units.